The Priority 15: Your Implementation Toolkit
Goal Recognise the 15 approaches prioritised for PHC and immunization work, and know which backbone question each one answers.
You have met seven of these tools already. The other eight build on them. Each answers one of the three backbone questions.
Understanding: Why Is Implementation Working or Not?
| Tool | In one line |
|---|---|
| CFIR | Five places to look for barriers and enablers (Lesson 2). |
| TDF | Fourteen domains explaining why a health worker does or skips a task. Finer detail than COM-B. |
| EPIS | Four phases: explore, prepare, implement, sustain. Different factors matter in each. |
| i-PARIHS | Success depends on skilled facilitation, fitted to the innovation, the people involved and their context. |
| NPT | The work people must do before a new practice becomes routine. |
| COM-B | Capability, opportunity and motivation behind one behaviour (Lesson 3). |
| WHO BeSD | Four drivers of caregiver vaccination (Lesson 4). |
Improving: Which Strategies Fix the Causes?
| Tool | In one line |
|---|---|
| Behaviour Change Wheel | Nine intervention functions matched to a COM-B diagnosis (Lesson 3). |
| ERIC | 73 named strategies in nine clusters (Lesson 5). |
| WHO RED | Five operational components for district immunization. Nigeria adapted it as Reaching Every Ward. |
| WHO TIP/HCD-TIP | Research with under-vaccinated groups, then design solutions tailored to their barriers. HCD-TIP (WHO, 2022) joins TIP with human-centred design for low-resource settings. |
Assessing: Did Implementation Improve?
| Tool | In one line |
|---|---|
| Proctor's outcomes | Eight implementation outcomes, from acceptability to sustainability (Lesson 6). |
| RE-AIM | Reach, effectiveness, adoption, implementation, maintenance (Lesson 6). |
| PRISM | RE-AIM plus the context explaining the results. |
| FRAME-IS | A log of changes you make to your strategies along the way. |
Keep two results apart. Proctor's outcomes tell you how well delivery went. Effectiveness, such as the E in RE-AIM, tells you whether the intervention itself worked. Report each on its own.
Use It on MondayPick one tool from this list you have not used. Open its profile in the inventory and read the "Immunization application" line.